Organization Active NPI

Axis Sports Performance & Rehab PLLC

  • Physical Therapist
  • Lynchburg, VA
National Provider Identifier
1962312637
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AXIS SPORTS PERFORMANCE & REHAB PLLC
Practice address
941 Waterlick Rd Unit 2-7
Lynchburg, VA 24501-7222
Phone
(434) 363-0568
NPI assigned
Sep 8, 2026
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Austin H Bennett, DPT
Title
Owner
Phone
(434) 363-0568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

941 Waterlick Rd Unit 2-7
Lynchburg, VA 24501-7222

Mailing address

941 Waterlick Rd Unit 2-7
Lynchburg, VA 24501-7222
Phone (434) 363-0568

National Provider Directory

National Provider Directory

Locations

941 Waterlick Rd
Unit 27
Lynchburg, VA 24501

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1962312637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 WATERLICK RD UNIT 2-7",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245017222",
            "telephone_number": "434-363-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 WATERLICK RD UNIT 2-7",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245017222",
            "telephone_number": "434-363-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS SPORTS PERFORMANCE & REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-363-0568",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.